Individual provider Active NPI

Patricia Michele Wright, PHD

  • Psychologist
  • Southaven, MS
National Provider Identifier
1023087350
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33519 Issued in MS
Practice address
5627 Getwell Rd
BLDG B, Ste 4
Southaven, MS 38672-7328
Phone
(662) 349-2979
Fax
(662) 349-2978
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P1847 TN
Psychologist 103T00000X 33519 MS Primary

Addresses

Primary practice location

5627 Getwell Rd
BLDG B, Ste 4
Southaven, MS 38672-7328

Mailing address

5627 Getwell Rd
BLDG B, Ste 4
Southaven, MS 38672-7328
Phone (662) 349-2979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33519MSMDPsychologist
P1847TNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to New Beginnings, PLLC Past Accepting new patients
Desoto Family Wellness Center, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1023087350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 GETWELL RD",
            "address_2": "BLDG B, STE 4",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727328",
            "telephone_number": "662-349-2979",
            "fax_number": "662-349-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 GETWELL RD",
            "address_2": "BLDG B, STE 4",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727328",
            "telephone_number": "662-349-2979",
            "fax_number": "662-349-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "PATRICIA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P1847",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MS",
            "license": "33519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.